I need help with the outcome of my MEB. I have an appointment to sign 199 on tuesday and think I want to appeal -
The reasons given for TDRL: . 1a, this disability is unstable because the medical evidence supports there is at least a 50/50 chance that within the next three years this condition will probably change enough to change the disability rating. This is based on the following: Per the NARSUM, ongoing physical therapy and pessary use was recommended until she was sure she was done having children; surgery was also offered as an option but the Soldier wished to delay. Per the medical literature, UpToDate - After surgery, symptoms of fecal incontinence generally improve with all procedures.
I would prefer not to have surgery because I’m not done having kids and all 3 surgical opinions have stated that a pregnancy after the repair would cause catastrophic damage.
However, o don’t want to mess up getting PDRL later on. I’d also strongly prefer to not have another c&p exam.
Questions:
1. Will the TDRL re-exam affect VA rating 100 P&t? My referred conditions are all “unstable” and are rated at 60, 60, and 30.
For Va, I have those three and a 30, 30, 20, 20, and 14x10s.
2. Can I appeal a rating for a higher one with the VARR and will this jeopardize all of my ratings?
3. Should I not be so concerned about the tarp/park distinction? The difference is about $700 more on PDRL because my DoD $ is more than 100% VA.
Thank you for any input!
The reasons given for TDRL: . 1a, this disability is unstable because the medical evidence supports there is at least a 50/50 chance that within the next three years this condition will probably change enough to change the disability rating. This is based on the following: Per the NARSUM, ongoing physical therapy and pessary use was recommended until she was sure she was done having children; surgery was also offered as an option but the Soldier wished to delay. Per the medical literature, UpToDate - After surgery, symptoms of fecal incontinence generally improve with all procedures.
I would prefer not to have surgery because I’m not done having kids and all 3 surgical opinions have stated that a pregnancy after the repair would cause catastrophic damage.
However, o don’t want to mess up getting PDRL later on. I’d also strongly prefer to not have another c&p exam.
Questions:
1. Will the TDRL re-exam affect VA rating 100 P&t? My referred conditions are all “unstable” and are rated at 60, 60, and 30.
For Va, I have those three and a 30, 30, 20, 20, and 14x10s.
2. Can I appeal a rating for a higher one with the VARR and will this jeopardize all of my ratings?
3. Should I not be so concerned about the tarp/park distinction? The difference is about $700 more on PDRL because my DoD $ is more than 100% VA.
Thank you for any input!